Galli M, Goldberg S L, Zerboni S, Almagor Y
Centro Cuore Columbus, Milan, Italy.
Cathet Cardiovasc Diagn. 1995 Aug;35(4):355-7. doi: 10.1002/ccd.1810350417.
A patient undergoing attempted angioplasty of a left internal mammary artery graft to left anterior descending coronary artery developed an iatrogenic dissection of the left subclavian artery, with symptoms of left arm claudication. A balloon expandable stent was inserted with an excellent angiographic result. The patient has remained free of symptoms or signs of decreased arm flow, with a patent subclavian artery demonstrated on angiography 8 months later. The excellent early-to-moderate term clinical and angiographic results support the efficacy of this technical approach.
一名正在接受左乳内动脉移植至左前降支冠状动脉血管成形术的患者发生了医源性左锁骨下动脉夹层，伴有左臂间歇性跛行症状。植入了一个球囊可扩张支架，血管造影结果极佳。患者一直没有出现手臂血流减少的症状或体征，8个月后的血管造影显示锁骨下动脉通畅。良好的早期至中期临床和血管造影结果支持了这种技术方法的有效性。
